根据高度的肩部旋转的变化,在患有手臂 (brachial plexus) 出生损伤的儿童中发生
Stephanie A Russo1, R Tyler Richardson2, Emily M Nice3
1Akron Children's Hospital, Akron, OH.
The Journal of hand surgery
|July 27, 2024
概括
测量肩膀旋转在有臂出生损伤的儿童需要评估提和提. 膜外旋在引过程中更大,如果在引过程中也不能测量,可能会掩盖早期的发育不良.
科学领域:
- 儿科整形外科 儿科整形外科
- 生物力学 生物力学
- 康复医学 康复医学 康复医学
背景情况:
- 缺少肩部外部旋转是患有臂出生损伤的儿童的常见并发症.
- 膜部 (GH) 形症可能会发展,与逐渐丧失被动外部旋转有关.
- 目前用于肩膀旋转的测量技术各不相同,有些人主张臂引,有些人则主张90度绑架.
研究的目的:
- 为了比较积极和被动的肩膀外部和内部旋转测量.
- 为了评估这些旋转在添加和提取双臂位置.
- 确定最优的方法来评估肩膀运动范围在这个群体.
主要方法:
- 十五名患有腕出生损伤的儿童参与了这项研究.
- 测量最大的主动和被动的内部/外部旋转,无论是引进的和90度引进的手臂位置.
- 使用反复测量ANOVA的三维运动捕捉分析了头骨胸部 (ST) 和关节 (GH) 关节角度.
主要成果:
- 与引进相比,在绑架中,膜外旋是显著更大的,无论是积极的还是被动的.
- 在添加和绑架之间在主动或被动的头骨胸部旋转中没有发现显著差异.
- 被动GH旋转明显大于活跃GH旋转.
结论:
- 肩部旋转测量不能在添加和提取位置之间互换.
- 综合性评估必须包括提和提,以准确评估肩部运动范围.
- 无法测量添加可能导致错过的早期GH关节发育不良在儿童与手臂的出生损伤.
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